Invisalign or braces? (Photo)

Avoid amputating healthy teeth for crowding. The issue is an underdeveloped maxilla, not too many teeth. There cn be multiple negatyive consequences from extraction, both cosmetic and medical

Ideally, expansion is done at a young age but it can be done in an adult as well. The DNA Appliance is excellent at maxillary expansion non-surgically but it needs to be worn 14-16 hours a day. You had bicuspids extracted and when you expand you may open up significant spaces that need...

You have a narrow maxiila and just looking at the teeth does not tell you very much. I suspect you have Dark Buccal Vestibules and deep nasal labial creases. Expansion may be best approach but too little information from just tooth scans. Do you have a forward head position which is common...